Organization
JMG REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEZIEL GONZALEZ PT, DPT (OWNER)
(413) 519-4348
Entity
Organization
Contact information
Practice address
3500 MAIN ST STE 101, SPRINGFIELD, MA 01107-1150
(413) 314-3053
(413) 341-8172
Mailing address
3500 MAIN ST STE 101, SPRINGFIELD, MA 01107-1150
(413) 314-3053
(413) 341-8172
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
10/07/2021
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